Hi..
Welcome to healthcaremagic..
I understand your concern.
Diane 35 and
Metformin are usually prescribed in pcod to regulate ovulatory cycles. Since you have
severe acne with pcod, Diane 35 may help you control androgenic acne too. Metformin indirectly helps in maintaining body weight in pcod.
Occasionally metformin has few abdominal side effects like
nausea etc. which may aggravate GERD that you have. Otherwise it is usually prescribed as 1000mg to 2000mg a day. I recommend you to consult your gastroenterologist to know what dose of Metformin is suitable for you keeping in mind GERD. Diane 35 is relatively safe in GERD.
Along with medications, it is important in PCOD to carry out regular physical activity. This helps reduce
insulin resistance and obesity, which in turn lessens the duration and dose of medications required in pcod.
Hope i have addressed your health concern.
If you have further query, I'm happy to help.
Wish you good health.